203 posters, 14 topics, 5 sessions, 817 authors, 256 institutions
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The AAPS 102nd Annual Meeting
May 18-21, 2024 | The Westin Copley Place, Boston, MA
P55
Longitudinal Outcomes Of Abdominoperineal Resection Reconstruction: A Single-center, Retrospective Review
Poster Presenter
Part of Topic
General Reconstruction/ Gender Affirmation
Longitudinal Outcomes of Abdominoperineal Resection Reconstruction: A Single-Center, Retrospective Review
Zachary Gala MD1, Christopher Amro MD1, Mehdi Lemdani MS, BA1, Jane Ewing BS1, Reed McGraw BA1, Dustin Crystal MD1, Ellen Niu BA1, Irfan Rhemtulla MD MS2, Robyn Broach, PhD1, Najjia Mahmoud MD3, Stephen Kovach MD1
1.Department of Surgery, Division of Plastic Surgery, Hospital of the University of Pennsylvania, Philadelphia, PA.
2.Division of Plastic Surgery, Department of Surgery, Christiana Care Health System, Newark, DE
3.Division of Colon and Rectal Surgery, Department of Surgery, University of Pennsylvania, Philadelphia, PA
§Abdominoperineal resection remains a mainstay for low lying colorectal cancer resections.
§While flap coverage is considered superior to primary closure, no specific flap is preferred, and complications occur in 20-50% of closures.
§The purpose of this study is to compare outcomes of perineal reconstruction with VRAM, gracilis, and omental flaps.
§All APR defect reconstructions performed with a flap from 2014-2023 by the senior author were included.
§Post-operative complications were assessed between flap subtype.
§Statistical analysis was performed in R Studio; Significance was achieved with P<0.05.
Mean Follow-up: 34.9 Months
Mortality: 25 patients (31%) at a mean 1.84 years
Fistula formation: More likely in VRAM vs. gracilis flaps
•*Gracilis OR: 0.11, p = .02
§Our study revealed an overall complication rate of 72.5% (n=58), 55% of whom required an intervention
§Most postoperative outcomes did not significantly differ by flap type.
§ECF formation was more likely after VRAM reconstruction when compared to gracilis flaps.